Greenwood, Shantelle Jane

Greenwood, Shantelle Jane is an individual health care provider with primary practice located at 3506 21St St Suite 607, Lubbock TX 79410-1212. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Greenwood, Shantelle Jane can be contacted via phone (806) 725-4134.

Contact Information

Primary practice address
3506 21St St Suite 607 Lubbock TX 79410-1212
Phone: (806) 725-4134
Fax: (806) 723-7803
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 623663 Texas

Profile Details

NPI number 1831354372
LBN Legal business name Greenwood, Shantelle Jane
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2008
Last updated Jun 16th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831354372 NPPES
Texas Other 623663 NP LICENSE

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